1770868416 T.R. MATIONG MD PA

Exclusive Provider Organization

Active

Basic Information

Organization Name
T.R. MATIONG MD PA
Enumeration Date
October 13, 2011
Last Update
July 8, 2013
Authorized Official
DR. TEODULO R MATIONG JR. M.D.
PRACTITIONER
Phone: (727) 857-1818

Practice Location

Address
10201 STATE ROAD 52
HUDSON, FL 346693071
Phone
(727) 857-1818
Fax
(727) 857-1609

Mailing Address

Address
10201 STATE ROAD 52
HUDSON, FL 346693071
Phone
(727) 857-1818
Fax
(727) 857-1609

Specialties & Taxonomies

Specialty Code Classification License State Primary
Exclusive Provider Organization
302F00000X Exclusive Provider Organization N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
593613012 01 N/A HUMANA PPO
451024515 01 N/A WELLCARE
10624 01 N/A BLUE CROSS BLUE SHIELD
05931 01 N/A UHCARE

Frequently Asked Questions

What is T.R. MATIONG MD PA's NPI number?
T.R. MATIONG MD PA's NPI number is 1770868416.
Which doctor has NPI number 1770868416?
The doctor with NPI number 1770868416 is T.R. MATIONG MD PA.
What is T.R. MATIONG MD PA's practice address?
T.R. MATIONG MD PA's practice address is 10201 STATE ROAD 52, HUDSON, FL, 346693071.
Which doctor practices at 10201 STATE ROAD 52, HUDSON, FL, 346693071?
T.R. MATIONG MD PA practices at 10201 STATE ROAD 52, HUDSON, FL, 346693071.
What is T.R. MATIONG MD PA's phone number?
T.R. MATIONG MD PA's phone number is (727) 857-1818.
Who is (727) 857-1818?
(727) 857-1818 is the phone number for T.R. MATIONG MD PA.
What is T.R. MATIONG MD PA's specialty?
T.R. MATIONG MD PA's specialty is Exclusive Provider Organization.
What type of doctor is T.R. MATIONG MD PA?
T.R. MATIONG MD PA is a Exclusive Provider Organization.
Is T.R. MATIONG MD PA a Exclusive Provider Organization?
Yes, T.R. MATIONG MD PA is a Exclusive Provider Organization.
Is T.R. MATIONG MD PA still practicing?
Yes, T.R. MATIONG MD PA is currently practicing.
Is T.R. MATIONG MD PA accepting new patients?
T.R. MATIONG MD PA may be accepting new patients. Please call their office at (727) 857-1818 to inquire about availability.
Is NPI 1770868416 still active?
Yes, NPI 1770868416 is currently active.
Where does T.R. MATIONG MD PA practice?
T.R. MATIONG MD PA practices in HUDSON, FL.